Establishing a business case for setting up early detection services for preventing psychosis

Under standard care, psychotic disorders can have limited response to treatments, high rates of chronicity and disability, negative impacts on families, and wider social and economic costs. In an effort to improve early detection and care of individuals developing a psychotic illness, early interven...

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Published inBJPsych Bulletin Vol. 47; no. 3; pp. 156 - 165
Main Authors Napoletano, Flavia, Andlauer, Olivier, Murguia-Asensio, Silvia, Eranti, Savithasri V., Akyuz, Elvan, Estradé, Andrés, Buhagiar, Jonathan, David, Christine, Fusar-Poli, Paolo, Gupta, Susham
Format Journal Article Book Review
LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.06.2023
Subjects
Business
Clinical practice guidelines
Comorbidity
crisis services
Disability
Early intervention
GDP
Gross Domestic Product
Health care expenditures
Intervention
Mental disorders
Mental health
Mental Health Services
Preventive medicine
psychiatry and law
Psychosis
Schizophrenia
service users
Special
Special Article
stigma and discrimination
Suicide
Teams
Waiting times
United Kingdom > UK
England
United States > US
stigma and discrimination
psychiatry and law
Suicide
crisis services
service users
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Abstract Under standard care, psychotic disorders can have limited response to treatments, high rates of chronicity and disability, negative impacts on families, and wider social and economic costs. In an effort to improve early detection and care of individuals developing a psychotic illness, early intervention in psychosis services and early detection services have been set up in various countries since the 1980s. In April 2016, NHS England implemented a new ‘access and waiting times’ standard for early intervention in psychosis to extend the prevention of psychosis across England. Unfortunately, early intervention and early detection services are still not uniformly distributed in the UK, leaving gaps in service provision. The aim of this paper is to provide a business case model that can guide clinicians and services looking to set up or expand early detection services in their area. The paper also focuses on some existing models of care within the Pan-London Network for Psychosis Prevention teams.
AbstractList Under standard care, psychotic disorders can have limited response to treatments, high rates of chronicity and disability, negative impacts on families, and wider social and economic costs. In an effort to improve early detection and care of individuals developing a psychotic illness, early intervention in psychosis services and early detection services have been set up in various countries since the 1980s. In April 2016, NHS England implemented a new ‘access and waiting times’ standard for early intervention in psychosis to extend the prevention of psychosis across England. Unfortunately, early intervention and early detection services are still not uniformly distributed in the UK, leaving gaps in service provision. The aim of this paper is to provide a business case model that can guide clinicians and services looking to set up or expand early detection services in their area. The paper also focuses on some existing models of care within the Pan-London Network for Psychosis Prevention teams.
Summary Under standard care, psychotic disorders can have limited response to treatments, high rates of chronicity and disability, negative impacts on families, and wider social and economic costs. In an effort to improve early detection and care of individuals developing a psychotic illness, early intervention in psychosis services and early detection services have been set up in various countries since the 1980s. In April 2016, NHS England implemented a new ‘access and waiting times’ standard for early intervention in psychosis to extend the prevention of psychosis across England. Unfortunately, early intervention and early detection services are still not uniformly distributed in the UK, leaving gaps in service provision. The aim of this paper is to provide a business case model that can guide clinicians and services looking to set up or expand early detection services in their area. The paper also focuses on some existing models of care within the Pan-London Network for Psychosis Prevention teams.
Author Eranti, Savithasri V.
Buhagiar, Jonathan
Napoletano, Flavia
David, Christine
Estradé, Andrés
Gupta, Susham
Murguia-Asensio, Silvia
Andlauer, Olivier
Akyuz, Elvan
Fusar-Poli, Paolo
AuthorAffiliation 6 South London and Maudsley NHS Foundation Trust , London , UK
1 East London NHS Foundation Trust , London , UK
4 King's College London , UK
7 University of Pavia , Italy
5 Catholic University , Montevideo , Uruguay
2 Queen Mary University of London , London , UK
3 North East London NHS Foundation Trust , London , UK
AuthorAffiliation_xml – name: 4 King's College London , UK
– name: 2 Queen Mary University of London , London , UK
– name: 3 North East London NHS Foundation Trust , London , UK
– name: 5 Catholic University , Montevideo , Uruguay
– name: 1 East London NHS Foundation Trust , London , UK
– name: 7 University of Pavia , Italy
– name: 6 South London and Maudsley NHS Foundation Trust , London , UK
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Copyright Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists. This work is licensed under the Creative Commons Attribution License https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
The Author(s) 2022 2022 The Author(s)
Copyright_xml – notice: Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists
– notice: Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists. This work is licensed under the Creative Commons Attribution License https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
– notice: The Author(s) 2022 2022 The Author(s)
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Issue 3
Keywords stigma and discrimination
psychiatry and law
Suicide
crisis services
service users
Language English
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Snippet Under standard care, psychotic disorders can have limited response to treatments, high rates of chronicity and disability, negative impacts on families, and...
Summary Under standard care, psychotic disorders can have limited response to treatments, high rates of chronicity and disability, negative impacts on...
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SubjectTerms Business
Clinical practice guidelines
Comorbidity
crisis services
Disability
Early intervention
GDP
Gross Domestic Product
Health care expenditures
Intervention
Mental disorders
Mental health
Mental Health Services
Preventive medicine
psychiatry and law
Psychosis
Schizophrenia
service users
Special
Special Article
stigma and discrimination
Suicide
Teams
Waiting times
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Title Establishing a business case for setting up early detection services for preventing psychosis
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